Provider Demographics
NPI:1053509380
Name:ENGLISH BRITT, CYNTHIA DENISE (LPN)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:DENISE
Last Name:ENGLISH BRITT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:DENISE
Other - Last Name:ENGLISH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:36 BEAUFORT STREET
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620
Mailing Address - Country:US
Mailing Address - Phone:585-271-6842
Mailing Address - Fax:
Practice Address - Street 1:36 BEAUFORT STREET
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-1920
Practice Address - Country:US
Practice Address - Phone:585-271-6842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1774511164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02076222Medicaid